Animal Hospital of Walnut
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Pet Exam for One Dollar
Our $1 Dollar Exam is the perfect fit for first time clients to meet our pet crazy team. To schedule your appointment please fill out this form and we'll get right back to you to complete the process of scheduling your first visit with us. Please note required fields with the red asterisk. Please read our Privacy Policy.

Contact Information

Providing your cell phone number is granting AHOW “prior express consent” to receive calls to that number.

How did you hear about our hospital?

Please indicate your payment preference.

Payment is due at the time services are rendered. Office policy requires a deposit when pets are hospitalized and the balance due upon release. We offer Care Credit which is a monthly payment plan exclusively for health care needs. Please inquire when you arrive.

Pet Information

Have you noticed any of the following symptoms or problems with your pet? Please check all that apply.

Please list any/all current medication your pet is on:

Please list any/all vaccinations your pet has had:

Your pet's current diet:

I hereby authorize the veterinarians at Animal Hospital of Walnut to examine, prescribe for and/or treat the above described pet. I assume full responsibility for all charges accrued for the care of this animal. I also understand that these charges will be paid at the time of release and that a deposit of the estimated cost may be required for medical and/or surgical treatment. I understand that during the performance of procedures or operations, unforeseen conditions may be revealed that necessitate the extension of medical or surgical care. Therefore I hereby consent and authorize the performance of such procedures or operations as are necessary as determined by the veterinarian's best professional judgment. I also authorize the use of appropriate immunizations, antiparasitics, anesthetics and medications and am aware that they do carry risks to health and life. I agree to the hospital's use of medications commonly used in veterinary medicine today, whether label or off-label. I grant AHOW the right to take photographs of me and/or my pet, and to copyright, use and publish the same in print and/or electronically with or without my name and for any lawful purpose, such as publicity, illustration, advertising and Web content. Returns/credits are for credit on account only, no cash refunds.

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Since 1981 pet owners have been trusting Animal Hospital of Walnut to care for their pets from San Dimas, Diamond Bar, Walnut, Covina, Phillips Ranch, Hacienda Heights, La Verne, Chino, and beyond.

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